Organization
REJUV HEALTH MAKEOVERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEAU MAULDIN D.C. (OWNER)
(720) 331-5756
Entity
Organization
Contact information
Practice address
742 TENACITY, UNIT A, LONGMONT, CO 80504
(720) 331-5756
Mailing address
1120 CHESTNUT DRIVE, LONGMONT, CO 80503-7636
(720) 331-5756
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4835
CO
Other
Enumeration date
01/03/2011
Last updated
01/03/2011
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